Sign In
Not register? Register Now!
Essay Available:
Pages:
2 pages/≈550 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 8.64
Topic:

Assessing an HIV Positive Patient

Case Study Instructions:

Chapter 10: Case Study
Joan Silva, age 35, comes to her primary care provider with a history of recurrent vaginal infections. She also mentions weight loss and generalized fatigue that has been worsening over the past 4 months. She has been previously healthy, takes no medications other than oral contraceptives and calcium supplements, and has no other significant medical history. Joan states that she became sexually active at the age of 19 and that she has had four sexual partners in her lifetime. She has never used any form of barrier protection during intercourse. She is currently in a 4-year monogamous relationship with a 37-year-old man who is in good health.
Physical Examination
Thin, anxious woman in no distress
Temperature 38° C (100.4° F) orally; pulse 96 and regular;
blood pressure 138/76 sitting; respiratory rate 15
Head/Eyes/Ears/Throat: No alopecia; pupils equal and reactive; fundi without lesions; tympanic membranes clear; cheesy white exudate on tongue and pharynx
Neck: Mild anterior cervical adenopathy; no thyromegaly
Lungs: Clear to auscultation and percussion
Cardiac: Regular rate and rhythm without murmurs or gallops
Abdomen: Nontender, without masses
Pelvic: Thick, white vaginal discharge; venereal warts present
Extremities: Without edema; pulses full throughout
Neurologic: Cranial nerves, strength, sensation, reflexes, and gait all intact
Laboratory Results
HIV antibody test: Positive, confirmed by Western blot
Complete blood count: Decreased lymphocytes, CD4+ = 170 cells/microliter
Potassium hydroxide preparation of oral and vaginal exudate: yeast
Answer the questions about Joan Silva and her condition.
1. Does Joan meet the diagnostic criteria for AIDS? Explain your answer.
2. What organism is the most likely cause of the whitish areas in her mouth and the vaginal discharge?
3. What is a common name for oral candidiasis?
4. Why is it important to perform a Pap smear on Joan to monitor for cervical dysplasia?
5. Why does her low CD4+ cell count put Joan at high risk for opportunistic infections?

Case Study Sample Content Preview:

Case Study
Name
Institutional Affiliation
Case Study
Does Joan meet the diagnostic criteria for AIDS? Explain your answer.
Following Joan’s physical examinations, it is found that she is thin yet without any distress, which can be related to weight loss. Though that may not be enough, the study conducted by Centers for disease control and prevention (2019) highlights that cheesy white exudate on tongue and pharynx, which is also experienced by Joan, is an infection caused by HIV. On the same note, it is also discovered that Joan’s neck experiences a mild anterior cervical adenopathy, without thyromegaly. Besides, I think Joan also experiences white vaginal discharge with the inclusiveness of venereal warts on her pelvic. Alternatively, Joan’s laboratory results indicate her CD4 being 170 with a decrease from 200 cells/microliter, which is a clear identification of one having AIDS. Admittedly, as the physical examination indicates Joan’s risk of having HIV, the laboratory results confirm her infected by AIDs. For that reason, Joan meets the diagnostic criteria for AIDS.
What organism are the most likely cause of the whitish areas in her mouth and the vaginal discharge?
According to their study, Mahmoud , Ghannoum, Ghannoum, Perfect, & Perfect (2016) note that Candida albicans as the most common type of yeast that causes whitish areas in one's mouth and virginal discharge. As far as the virginal discharge is concerned, the candada albicans is noted to live within mucous, that is to say, the membranes that lines the genitals. Notably, the reason for the yeast to affect the mouth and the genital parts is because the moist areas of the body only activate it. In other words, the yeast cannot survive in dry parts of the body. As a matter of fact, the genital and the mouth are the body parts that are ever moist, hence favoring yeast survival.
What is a common name for oral candidiasis?
Thrust is the most common name for oral candidiasis.
Why is it important to perform a Pap smear on Joan to monitor for cervical dysplasia?
From Joan's physical examination, it is noted that she...
Updated on
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:
Order

👀 Other Visitors are Viewing These APA Case Study Samples: